Jaclyn Marie Sommerville, AU.D, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000502 Issued in MI

Practice address

23233 Nine Mack Dr
Saint Clair Shores, MI 48080-1969

Phone

(586) 498-5000

Fax

(844) 273-2104

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sommerville Audiology, LLC

  • Audiologist
  • Saint Clair Shores, MI
  • NPI 1942674478
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1790936904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23233 NINE MACK DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801969",
            "telephone_number": "586-498-5000",
            "fax_number": "844-273-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23233 NINE MACK DR",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801969",
            "telephone_number": "586-498-5000",
            "fax_number": "844-273-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERVILLE",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna E Snyder, DO
• Cassandra Sokolnicki
• Jennifer Marie Solak, MBA, BSN, RN
• Solas PLC
• Sommerville Audiology, LLC
• Sophisti Cuts LTD Go Green Salon
• David Maurice Sorbo, D.D.S.
• Emianka Sotiri, MD
• Southeastern Michigan Medical Consultants PC
• Colin Southway

• Audiologist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.